THE PRESBYTERIAN HOSPITAL (NPI# 1528467586) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1528467586 |
Entity Type | Organization |
Organization Name | THE PRESBYTERIAN HOSPITAL |
Other Organization Name | ST JUDE AFFILIATE CLINIC AT NOVANT HEALTH HEMBY CHILDRENS HOSPITAL |
Practice Address |
301 Hawthorne Ln Charlotte NC 28204-2450 |
Mailing Address |
Po Box 60447 Charlotte NC 28260-0447 |
Practice Telephone | 7043841900 |
Practice Fax Number | 7043841919 |
Mailing Telephone | 7043847840 |
Enumeration Date | 2014-08-15 |
Last Update Date | 2015-07-08 |
Authorized Official Name | MRS. AMY VANCE (SVP COO) |
Authorized Official Telephone | 7043841900 |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 2080P0207X |
Pediatrics Specialization: Pediatric Hematology-Oncology |
Allopathic & Osteopathic Physicians |
Other Name | Type Code |
---|---|
St Jude Affiliate Clinic at Novant Health Hemby Childrens Hospital | Doing Business As Name - Organization |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1851909816 | The Presbyterian Hospital | Internal Medicine | 125 Queens Rd Ste 660, Charlotte, NC 28204-3215 | 2020-07-16 |
1346858487 | The Presbyterian Hospital | Internal Medicine | 125 Queens Rd Ste 560, Charlotte, NC 28204-3215 | 2020-07-15 |
1295343341 | The Presbyterian Hospital | Internal Medicine | 125 Queens Rd Ste 640, Charlotte, NC 28204-3215 | 2020-07-15 |
1750909032 | The Presbyterian Hospital | Emergency Medicine | 125 Queens Rd Ste 500, Charlotte, NC 28204-3215 | 2020-07-13 |
1881212215 | The Presbyterian Hospital | Internal Medicine | 125 Queens Rd Ste 520, Charlotte, NC 28204-3215 | 2020-07-13 |
1720606486 | The Presbyterian Hospital | Internal Medicine | 125 Queens Rd Ste 400, Charlotte, NC 28204-3215 | 2020-07-09 |
1720606445 | The Presbyterian Hospital | Internal Medicine | 125 Queens Rd Ste 430, Charlotte, NC 28204-3215 | 2020-07-09 |
1235757352 | The Presbyterian Hospital | Internal Medicine | 125 Queens Rd Ste 420, Charlotte, NC 28204-3215 | 2020-07-07 |
1700385846 | The Presbyterian Hospital | Internal Medicine | 1918 Randolph Rd Ste 820, Charlotte, NC 28207-1119 | 2018-02-05 |
1174989479 | The Presbyterian Hospital | Internal Medicine | 14135 Ballantyne Corporate Pl Ste 200&160, Charlotte, NC 28277-3383 | 2016-01-04 |
Street Address |
301 HAWTHORNE LN |
City | CHARLOTTE |
State | NC |
Zip Code | 28204-2450 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1649268160 | Paulette C Bryant | Pediatrics | 301 Hawthorne Ln, Suite 100, Charlotte, NC 28204-2450 | 2005-10-10 |
1811469885 | Erik Rush | Physician Assistant | 301 Hawthorne Ln, Charlotte, NC 28204 | 2019-01-01 |
1598027617 | Stephanie E Betters | Nurse Practitioner | 301 Hawthorne Ln, Suite 200, Charlotte, NC 28204-2450 | 2012-06-14 |
1043512734 | Brian Christopher Regan | Nurse Practitioner | 301 Hawthorne Ln, Suite 200, Charlotte, NC 28204-2450 | 2010-12-01 |
1366776833 | Courtney Huffman Saine | Nurse Practitioner | 301 Hawthorne Ln, Suite 100, Charlotte, NC 28204-2450 | 2009-09-30 |
1689836306 | Carissa Leigh Heibel | Physician Assistant | 301 Hawthorne Ln, Charlotte, NC 28204 | 2008-06-25 |
1578751012 | Mary Barksdale Gee | Nurse Practitioner | 301 Hawthorne Ln, Suite 100, Charlotte, NC 28204-2450 | 2007-10-10 |
1093921744 | Jessica Bell | Pediatrics | 301 Hawthorne Ln, Suite 100, Charlotte, NC 28204-2450 | 2007-05-16 |
1750439345 | Christine M Bolen | Pediatrics | 301 Hawthorne Ln, Suite 100, Charlotte, NC 28204-2450 | 2007-01-08 |
1225136120 | Andria K Kokoszka | Nurse Practitioner | 301 Hawthorne Ln, Suite 100, Charlotte, NC 28204-2450 | 2006-09-21 |
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NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1285263582 | Precise Home Care Service LLC | In Home Supportive Care | 1935 Baxter Street, Unit 101, Charlotte, NC 28204 | 2020-04-07 |
1285276253 | Shannon Miller | Counselor | 1432 E Seventh Street, Charlotte, NC 28204 | 2019-10-11 |
1194282202 | Madison Joann Mcgarrigle | Behavior Technician | 1401 East 7th Street, Charlotte, NC 28204 | 2019-02-25 |
1255802674 | Stacey D. Alston, Dds, Pa | Dentist | 1020 E. 10th St., Suite 1, Charlotte, NC 28204 | 2018-12-11 |
1972082097 | Kim Webb Talbert | Nurse Practitioner | Novant Health Presbyterian Medical Center Charlotte, 200 Hawthorne Lane, Charlotte, NC 28204 | 2018-08-09 |
1164910535 | Jesse Elijah Roberts | Counselor | 1801 E 5th Street, #208, Charlotte, NC 28204 | 2018-05-01 |
1336696848 | Eight Healthcare | Exclusive Provider Organization | 2455 Weddington Ave, 2110, Charlotte, NC 28204 | 2016-09-01 |
1225480551 | Kathleen Quintana Bradley | Physician Assistant | 1523 Elizabeth Ave., Suite 200, Charlotte, NC 28204 | 2016-07-11 |
1184049777 | Della Franklin | Speech-Language Pathologist | 1021 Morehead Medical Dr Ste 3300, Charlotte, NC 28204 | 2014-02-19 |
1225459845 | Healing Arts Medical, Pa | Family Medicine | 335 N. Caswell Rd., Charlotte, NC 28204 | 2013-12-27 |
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Taxonomy Code | 2080P0207X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Pediatrics |
Specialization | Pediatric Hematology-Oncology |
A pediatrician trained in the combination of pediatrics, hematology and oncology to recognize and manage pediatric blood disorders and cancerous diseases. |
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Pediatrics, 2007. http://www.abp.org/. American Osteopathic Board of Pediatrics, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Pediatrics. Board certification for Doctors of Osteopathy (DOs) was provided by the American Osteopathic Board of Pediatrics. The Certification is no longer offered. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1457695454 | Carolinas Medical Center | Pediatrics | 1001 Blythe Blvd, Ste 601a, Charlotte, NC 28203-5866 | 2012-11-15 |
1487940375 | Erin Trovillion | Pediatrics | 1001 Blythe Blvd, Medical Center Plaza Ste 601, Charlotte, NC 28203-5866 | 2011-06-20 |
1003130055 | Kristina Harrell | Pediatrics | 1350 S Kings Dr, Charlotte, NC 28207-2134 | 2010-03-19 |
1902084403 | Michael Kent | Pediatrics | 1001 Blythe Blvd, Medical Center Plaza Ste 601, Charlotte, NC 28203-5866 | 2008-02-06 |
1407032469 | Jeffrey Huo | Pediatrics | 1001 Blythe Blvd, Medical Center Plaza Ste 601, Charlotte, NC 28203-5866 | 2008-01-21 |
1922204718 | David Gass | Pediatrics | 1001 Blythe Blvd, Medical Center Plaza Ste 601, Charlotte, NC 28203-5866 | 2007-06-27 |
1689881849 | Philip Roehrs | Pediatrics | 1001 Blythe Blvd, Medical Center Plaza Ste 601, Charlotte, NC 28203-5866 | 2007-05-17 |
1093921744 | Jessica Bell | Pediatrics | 301 Hawthorne Ln, Suite 100, Charlotte, NC 28204-2450 | 2007-05-16 |
1821217605 | Javier Oesterheld | Pediatrics | 1001 Blythe Blvd, Medical Center Plaza Ste 601, Charlotte, NC 28203-5866 | 2007-04-24 |
1306063128 | Joel Kaplan | Pediatrics | 1001 Blythe Blvd, Medical Center Plaza Ste 601, Charlotte, NC 28203-5866 | 2007-04-20 |
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Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.